Family communication patterns develop from implicit and explicit rules for communicating within the family system. Family rules govern appropriate topics and frequency of discussion (family talk) and a hierarchy among family members (family obligation). Patterns of family conversation and family conformity range from high to low to form specific communication caregiver communication types: Manager, Partner, Lone, and Carrier caregivers. The figure provides a summary of the Family Caregiver Communication Typology. We have found that these caregiver types influence the scope of caregiving burden, caregivers exhibit specific communication behaviors with healthcare providers, patient and family corroborate caregiver type and variance in caregiver outcomes has confirmed the typology.